HomeMy WebLinkAboutpitkin.eh.264504303025 (1983)t %.,kSPEN*PITKIN
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ENVIRQNMENTAL HEALTH DEPA MENT
INDIVIDUAL SEWAGE DISPOSAL PERMIT NO. 3Ca0(D
TYPE OF PERMIT:
( )Initial Construction ( )Emergency Use ( )Repair Work,(Pievious Permit 1 .) ( )Alteration of an existing system,
or installation (Previous Permit I )
ykUse Permit as a result of Sale ( )Others
ISSUED T0: DATE OF ISSUE_/4
Owner So.<Apj RCI)RI C _ Home Phone Z.5�- a Business Phone 723 ya8o�
Mailing g / p %��
Addre s s P 0. Dx �tj tL— OD y ��EFI�� �ULdIe/4 QO Y1456
Agent NAA Phone
Mailing
Address 1
Sewage Disposal System Work to be performed by ,Ja d I5HER
This permit valid only for premises location by the following legal doueriptiont LOT 3'l BLQtx �Jrur4C�REftC
LOT SIZE Ac-pQE , WATER SUPPLY5(),82jV15jVJ AVERAGE PERCOLATION RATE �^
This Individual Sewage Disposal Permit is granted with regard to the following uset-31 sL�f'A'nII_yRes IoF ICe-
Nu:abcr oft Dodicoms Lofts D Garbage Disposals__ Dishwashers_ Clothes Washers
CALCULATED AVERAGE DAILY WASTE LOAD SO GALLONS.
THE NATURE OF THE SYSTEM INCLUDED UNDER THIS PERMIT:
type of Tank or Treatment UnittSEPTi -FAUK- Tank. Capacit AdC/'l! _Callon Minimum
" thod of Final Disposal[ S4'E"o/44Gf (� Absorptlop Area Square Feet Minimum
)ascription (including brand name, if any) of other equipment or,appurtnancess
Other Conditions or Specificationst
STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT:
( )Before Excavation ( )Upon completion of excavation and prior placement of gravel ( )Before covering cistribution
system of absorption field
( )Prior to backfill of any component ( )Other, specify:
..��^]�k.fSSGLt
Plans and specifications of the proposed sewage disposal system have been reviewed and are considered satisfactory. Permission
is hereby granted to thr• owner or his agent to perform the work indicated above in accordance with the Pitkin County Individual.
Scwaje Disposal Re-tulations in effect on the date of is.ue. In addition to general provisions act forth on the reverse hereof,
thio Permit is subject to the following additional terns and conditions:it. Awo.M..,e.�a.a......,r.M....wb r�+�,�,,,�,,,,,^^"",^ °•••* •••••••
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APPROVED FOR ISSUE BY (title)
The above individual sewago disposal system installed by
hAs been ln:ipected for use by a representative of the Aei:en Il:t to Unvironct,,:ntal lfcaltS Department. The ownur asuumos all
rvnponsibility in case of failure or inadequacy of this acwago disposal system. Complete as -built drawing attached.
DATE OF FINAL INSPECTION
11XIVI�BY:TITLE
130 South Galena Street Aspen, Colorado 81611 303/925-2020
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